EPA Form 3520-29 OMB Control No. 2060-0545; approval expiration date: 7/31/2010 

U.S. ENVIRONMENTAL PROTECTION AGENCY 

MOTOR VEHICLE AND ENGINE COMPLIANCE PROGRAM 

ON-HIGHWAY FEE FILING FORM 

FOR CERTIFICATION APPLICATIONS RECEIVED IN CALENDAR YEAR 2010

Manufacturer Name 

Address 

City/State/Zip Code/Country 

On-Highway Certification Request Type (check one) 

 LDV/LDT/MDPV/HDV (Chassis cert) FEDERAL ($34,849) HDV EVAP-ONLY ($511) 

 LDV/LDT/MDPV/HDV (Chassis cert) CAL-ONLY ($17,591) HDE CALIF-ONLY ($511) 

 HDE (Engine Dyno cert) FEDERAL ($35,967) MOTORCYCLE ($1,210) 

 LD/MDPV/HDV ICI ($47,928) 

EPA standard engine family or test group or 

HDV Evaporative family name:

Amount paid (U.S. Funds Only): $ 

Enter the check number, or the statement AEFT/WIRE@ or AEFT/ACH@: 

Reduced Fee Section (40 CFR §1027.120) 

Reduced fee calculation (minimum initial payment $750): Total number of vehicles/engines covered: 

Aggregate retail sales price of the vehicles/engines: $ x 1% = $ 

Check box if an Independent Commercial Importer: List the VIN of imported vehicles/engines below: 

 

 

Company Representative: Signature: 

Title: Phone/Fax: / Date: / / 

E-mail Address: 

Submission of payments and forms: 

(1) Online: Forms may be found and submitted with or without payments online at www.Pay.gov. 

(2) Send checks and this form to:

Environmental Protection Agency

Motor Vehicle and Engine Compliance Program 

P.O. Box 979032 

St. Louis, MO 63197-9000 

(3) Transmit offline EFT/Wire payments to the New York Federal Reserve Bank. (See Instructions, p.2) 

(4) Transmit offline EFT/ACH payments to the Federal Reserve Bank of Cleveland. (Instructions, p.2) 

(5) Forms not submitted under (1) and (2) above can be sent as email attachments to Fees@epa.gov. 

Forms and payments sent in ways other than the above may be delayed or ineffective. See the 

Instructions for sending checks and forms by private mail service (e.g., Federal Express). 

This form expires: 1/1/2011 

The public reporting and recordkeeping burden for this collection of information is estimated to average 18 minutes per response. Send comments 

on EPA’s need for this information, the accuracy of the provided burden estimate, and any suggested methods for minimizing respondent burden, 

including through the use of automated collection techniques, to the Director, Collection Strategies Division, U.S. Environmental Protection Agency 

(2822T), 1200 Pennsylvania Ave., N.W., Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the 

completed Form 3520-29 to this address. 
EPA Form 3520-29 OMB Control No. 2060-0545; approval expiration date: 7/31/2010 

Page 2 

Instructions 

NOTE: This form applies to complete certification applications that are received in Calendar Year (CY) 2010.

 Fee amounts due are subject to change every year. Use of the form for the wrong calendar year can cause incorrect 

payments and delays. Get the form for the calendar year of your application submission at 

www.epa.gov/otaq/fees.htm or www.Pay.gov. Forms and payments may be submitted online at www.Pay.gov. 

Manufacturer Name and Address

List the applicant=s corporate name and corporate address as it will appear on the Certificate of Conformity. 

Certification Request Type

Check the box that specifies the certification request type. If you are paying a reduced fee, still mark the appropriate 

certification request type. 

EPA Standard Engine Family or Test Group or HDV Evaporative Family Name

Enter the appropriate EPA standardized engine family or test group name as it will appear on the Certificate of 

Conformity. Forms and payments for Modification and Test vehicles under 40 CFR 85.1509 must list the engine 

family for the currently valid Certificate of Conformity under which the vehicles are being imported. 

Amount Paid

Enter the appropriate fee amount for the designated certification request type. The full fee, payable in U.S. dollars, 

along with a properly completed fee filing form, must be received before certification review can begin. All banking 

fees are the responsibility of the manufacturer. The reduced fee amount (if applicable) is also entered in this box.

Check Number, EFT/ACH, or EFT/WIRE (for offline payments)

The check number is mandatory for check, money order, bank draft, or certified check; or enter the letters 

"EFT/WIRE" or "EFT/ACH" if sending an electronic funds transfer. Indicate the standard engine family or test group 

name on the check. Make checks payable to “U.S. Environmental Protection Agency”. 

Indicate in the EFT message field the information: 

For Wire: RDFI: Federal Reserve Bank; Location Code (Same as EPA Account Number): 68-01-0099; "EPA 

MVECP Fee"; ABA number: 021030004. (ABA number is same as Swift Code or Routing Number for participating 

banks. For further information, email Fees@epa.gov). Note: the wire detail corresponding to ABA 021030004 is 

“TREAS NYC”; this is the same as the Federal Reserve Bank. 

For ACH: RDFI: Federal Reserve Bank, Routing Transit number: 051036706, Account number: 540006, Account 

Name: U.S. Environmental Protection Agency (EPA). Note: the 051036706 company name appears as “U.S. EPA”; 

the receiving bank is still the Federal Reserve Bank of Cleveland. 

Please include in wire or ACH message fields the following: the words “MVECP Fees”, manufacturer name, and 

engine family/test group/HDV evaporative group name(s). If space is limited, list one name and the number of 

families. 

Reduced Fee Section (if applicable)

Reduced fee submissions must be supported by the reduced fee calculation on Page 1 of this form and any relevant 

supporting information requested by EPA at the time of application review. Enter the number of vehicles/engines 

projected for sale under the engine family/test group. Enter the aggregate projected retail sales price of the vehicles or 

engines and multiply that value by 1% (.01). Enter and pay the reduce fee amount (minimum $750). If you are an 

ICI, please enter the VIN for any vehicles/engines already (or soon to be) in your possession. For any additional 

VINs, please use a separate page. For further information see the reduced fee provisions under 40 CFR §1027.120. 

Company Representative 

Enter the representative's name, signature, title, phone/fax, date, and an e-mail address. Note: an acknowledgment of 

fees received will be sent to this e-mail address. No other receipts will be sent. 

Bank Address for Private Mail Shipment (other than U.S. Postal Service)

If using a private shipping service such as Federal Express (or other service), send checks with fee filing forms to:

U.S. Bank 

Government Lockbox 979032 

1005 Convention Plaza 

SL-MO-C2-GL 

St. Louis, MO 63101